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No. We will not enroll the following into a Part D Plan: those who do not have Medicare Part A or B, those in Medicare Advantage Plans, and those in employee retirement plans with drug coverage. We will also not enroll anyone who notifies us that they do not want to be enrolled in a Part D plan for 2014.

If PACE/PACENET enrolls you in a Part D plan, you will receive a letter from the program telling you the name of the Medicare Part D plan that they have selected for you. The program reviews your information and selects a plan that will cover your medications at the lowest cost and allow you to go to the pharmacy that you prefer.

If you have not received information from the program, we may not be enrolling you in Part D as mentioned in Question 2; or we may not know that you have a Part D plan. All PACE/PACENET members get help with their Part D deductibles, co-pays and costs during the coverage gap. If you have any questions about how PACE/PACENET can work with your Part D plan, you should call the program at 1-800-225-7223.

If you do not have a Part D plan when you enroll in PACE or PACENET, we will not assign you to one immediately, but we may provide recommendations to you within a few months. However, if you have a Part D plan when you enroll in PACE or PACENET, you can choose to stay in that plan or follow our recommendations.

The PACE Program will pay the Part D premiums for PACE cardholders enrolled in one of the plans that has a signed agreement. PACE will pay up to the regional benchmark, which is $35.50 for 2014. If you enroll in a plan with a premium higher than $35.50, you must pay the difference.

The Program will not be able to help pay the Part D plan premium for individuals who are not enrolled in a Part D plan that does not have a signed agreement.

PACENET:

PACENET cardholders enrolled in one of the program's partner Part D plans will have to pay the Part D plan's premium at the pharmacy but will no longer have to pay the PACENET deductible. You will never be charged more than the cost of your medication at one time. Therefore, if the cost of your medication is less than the amount of premium you owe, you only pay the cost of the medication and the remaining amount of the premium you owe will be carried over until you need another medication filled (that same month or the next month).

EXAMPLE: Part D plan's monthly premium is $34.00.

Prescription filled on 1/12/14 – cost of the drug was $8.25 – cardholder charged $8.25 and this amount goes toward the premium of $34.00 ($25.75 remaining).

Prescription filled on 1/13/14 – cost of the brand drug was $153.24 – cardholder charged $11.55 to meet the remaining amount of the premium plus a $15 co-payment for the brand name medication.

PACENET cardholders enrolled in a non-partner Part D plan will have to pay the Part D plan's premium directly to the Part D plan each month, but they will not have to pay the PACENET deductible at the pharmacy.

When you first use your PACENET card, and in the months that follow, you will have to pay a monthly deductible that is equal to the regional benchmark premium for Part D, which is $35.50 for 2014. After you pay this deductible at the pharmacy, you will pay the PACENET co-pays for your medications ($8 for generics and $15 for name brand medications).

If you have not used your PACENET card and you do not currently take medications, you will not have to pay this deductible until you activate your card at the pharmacy. Once you activate your PACENET card, the monthly deductible will accumulate if it is not met each month. This process is only for PACENET cardholders that do not enroll in Part D.

EXAMPLE: I sign up for PACENET in January 2014, but do not use my card until March, 2014. In March, I pay a deductible of $35.50. If I do not purchase any medications in April, my deductible in May will be $71.00 ($35.50 from April plus $35.50 for May) and so forth.

No, there are many instances in which the program will send payment to your Part D plan on your behalf. By signing up for automatic deductions from Social Security, you may be overpaying for your Part D services. Please check with the program prior to making this decision.

Yes, show both cards at the pharmacy. This will let your pharmacist know to bill your Part D plan first and bill PACE or PACENET second. It will also let your pharmacist know that you are entitled to all of the drugs that are available under PACE and PACENET.

No, not for medications that are covered by PACE/PACENET. If your Part D plan charges higher co-payments than you were paying under PACE/PACENET, the program will pay the difference if the pharmacy has the capability to bill more than one payer for a prescription claim. If you are taking medications that are not covered by PACE/PACENET, you will pay your Part D plan's co-pay for those drugs. If you run into any confusion at your pharmacy, call the program's toll-free number at 1-800-225-7223 while you are at the pharmacy.

You will not experience a "donut hole" or period of time when you have no prescription drug coverage. Instead, the PACE/PACENET program will fill in the gaps for covered medications, so that you can continue to get your prescriptions by only paying the PACE/PACENET co-pays.

If your Part D plan has a restrictive drug formulary, PACE/PACENET will cover your prescription medications or work directly with the plan to process a prior authorization on your behalf so the drugs will be covered by your Part D plan.

No. You must use the pharmacies that are in your Part D plan's network. We picked a plan for you that contracts with the pharmacy where you usually get your prescriptions filled. If you decide to change pharmacies, check with your new pharmacy to make sure they participate in your Part D plan and PACE.

Yes. However the mail-order pharmacy must participate with the PACE Program in order for the program to help pay for your extra co-payments. Also, since you will be ordering a three-month supply of your drug(s) by mail, you will pay up to three PACE/PACENET co-payments at once. For example, a PACE cardholder would pay up to $18 for a 90-day supply of generic medications.

PACE/PACENET cardholders enrolled in Part D will have to use the pharmacies that participate in the Part D plan's pharmacy network. If your Part D plan offers mail-order services, the plan will provide information regarding these pharmacies in their Welcome Kit and enrollment documents that will be sent to you. If you want to find out whether a mail-order pharmacy also participates with PACE/PACENET, you can contact the PACE program at 1-800-225-7223.

We reviewed the drugs that you take and the pharmacy you use most often. Then, we matched you up with a partner plan that covers your medications, offers you the lowest possible costs for your prescription drugs and works at the pharmacy you use.

No. The program will sign agreements with many Part D plans for 2014 that make it easier for the PACE program to coordinate with them and avoid confusion. Enrolling in one of these plans guarantees that you get the most help with your Part D plan costs.

Information about premiums, participating pharmacies and covered drugs for these companies, and any other Part D plan operating in Pennsylvania, is available by calling 1-800-Medicare (1-800-633-4227 or 1-877-486-2048 (TTY)) or by going on the internet at: www.medicare.gov. Also, the Medicare & You Handbook mailed to all Medicare beneficiaries in the fall has a list of all the available plans in Pennsylvania.

During the Annual Enrollment Period from October 15 through December 7, 2013 anyone on Medicare can change their Part D plan. The PACE/PACENET program sends its members a notification regarding their personal plan selection before the start of this period. PACE/PACENET cardholders are also eligible for one Special Enrollment Period per year. This means you can change the Part D plan in which you are enrolled or were assigned to one time outside the Annual Enrollment Period. If you want to enroll in a Part D plan that is not one of our Part D partner plans, let us know and call the Part D plan directly or Medicare at 1-800-633-4227.

Not necessarily. Shortly before the Annual Enrollment Period, you will receive a letter from the program telling you whether they will be assigning you to a different plan. If you receive a letter, the choice of Part D plans is yours. You can either be assigned to the plan the program picks for you or notify the program that you want to stay in your current plan.

For 2014, if you were assigned to one of the PACE/PACENET program's partner plans, you should not receive a bill from the Part D plan. If you receive a bill from your partner Part D plan, you should contact the PACE/PACENET program toll-free at 1-800-225-7223.

If you are enrolled in a non-partner Part D plan, you may receive a bill for the monthly premium:

* If you are a PACE member in a non-partner Part D plan that has signed a premium payment agreement with the program, you should not receive a monthly bill because PACE will pay the premium to the plan for you, as long as the monthly premium does not exceed $35.50.

In addition, you should not sign up for deductions from your Social Security checks for payment of your Part D premiums or send payment for any coupon booklets you receive without first checking with the PACE/PACENET program.

* If you are a PACE member in a non-partner Part D plan that does NOT have a signed premium payment agreement with the program, you will have to pay the monthly premium to the plan.

* All PACENET members who are in a non-partner Part D plan should receive a monthly premium bill from their Part D plan and are responsible for paying that premium directly to the plan.

If you are in a Medicare Advantage Plan (HMO/ PPO) without prescription drug coverage and you would like to enroll in Part D, you need to contact your Medicare Advantage Plan to see if they offer a Part D benefit. If they do, you should enroll through your Medicare Advantage plan in order to keep your doctor and other health care providers. If you are in PACE (as opposed to PACENET), the program will pay the Part D premium portion for you (up to $35.50) if the plan has signed a premium payment agreement with the program. If your Medicare Advantage Plan does not offer a Part D benefit, then you may need to join a different Medicare Advantage Plan to get Part D. Keep in mind that changing Medicare Advantage plans may affect your choice of doctors.

No. The VA is considered creditable coverage (as good as or better than Medicare Part D), and so is PACE/PACENET. However, you can enroll in Medicare Part D and keep your other benefits. That way, you will have extra prescription coverage in case you cannot get to a VA facility.

If you are enrolled in PEBTF/REHP and PACE/PACENET, the PACE Program will not enroll you into a Medicare Part D plan. The PEBTF/REHP will offer Part D coverage in 2014 through retiree SilverScript Part D plan. For more information, you should contact PEBTF at 1-800-522-7279.